| NPI | 1114241619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61267593) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61267593) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 131700) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-12-08 |